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How to fill out the FastStart 106-13946a online
Filling out the FastStart 106-13946a online is essential for processing a patient’s prescription request efficiently. This guide offers a comprehensive walkthrough to ensure you provide all necessary information accurately.
Follow the steps to complete the FastStart 106-13946a form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Provide accurate patient information in the designated fields. Enter the patient's full name, date of birth, address, phone number, city, state, ZIP code, and CVS Caremark ID number.
- Fill in the prescription information by detailing the drug name, strength, directions, and quantity with refills. Complete for up to four medications, indicating whether the prescription is for 90 days or 1 year.
- Include the prescriber’s information by entering their name, phone number, address, fax number, city, state, ZIP code, and DEA number.
- Finalize your submission by faxing the completed form to the designated toll-free number at 1-800-378-0323. Ensure all details are accurate before sending.
Complete your document online today to streamline the prescription process.
To send a prescription to CVS Caremark mail order, you will typically need to submit your prescription through their online portal, by fax, or over the phone. Ensure you have all pertinent information ready, such as your health plan details. When using FastStart 106-13946a, you can simplify this process and take advantage of user-friendly features that CVS Caremark offers.
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